Individual
ANITA BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
168 OLD HIGHWAY 13, PINOLA, MS 39149-3813
(601) 808-1914
(601) 847-2086
Mailing address
168 OLD HIGHWAY 13, PINOLA, MS 39149-3813
(601) 808-1914
(601) 847-2086
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
P319589
MS
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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